Insurance Verification Patient Account
Resume:
Tammy
DeHaan
Kansas City, Missouri *****
W: ********@*****.***
Skills
• Claims Processing
• Payment Posting
• Insurance Verification
• Medical Coding Knowledge
• Medical Billing Collections
• Research and Due Diligence
• DRG & Hospital Billing
• Denials & Appeals
• Customer contact
• Patient billing
• ICD 9 & 10
Medicare and medicaid
process
•
• Reliability
• Coding Knowledge
• Billing reconciliation
• Medical claims submission
• Billing data verification
• Critical thinking
Multitasking and
organization
•
• Teamwork and collaboration
• ICD-9 & ICD-10
• Computer literacy
Professional Summary
With a robust background in healthcare billing and insurance verification, and some extensive knowledge in the Specialty Clinics such as, ABA, Home Infusion, Radiology Cardiology and Oncology to namer a few. I excel in streamlining patient account processes. Proficient in Epic and Meditech, my expertise has significantly improved insurance verification accuracy, evidenced by a 50% increase in payable reimbursements. My proactive approach and keen attention to detail ensure compliance and efficiency in high-volume settings. PLATFORMS
Epic, Meditech, Cerner, Onbase, Imagine, Relias, Avatar and Artiva Experience
TRC Healthcare Staffing/FTI Remote, SC
January 2024 - May 2024
Billing Specialist PAR II
Analyzed billing data to identify trends and recommend process improvements 75% AR reduction
•
Successfully negotiated with insurance companies for prompt and correct payments, enhancing company revenue
•
TRC Healthcare Staffing/FTI Remote, SC
April 2023 - December 2023
Billing Specialist PAR II
Prestige Staffing/Gentiva Remote, GA
February 2022 - June 2022
Insurance Verification Specialist
Examined high-volume insurance verifications within pressured timeframes for patient eligibility for insurance coverage by contacting insurance carriers
•
Clarified patient records with accurate, current insurance policy information, with a 65% payable reimbursements off the books
•
Several Dr. & Business Offices-During COVID-1099 Remote, MO July 2020 - January 2022
Patient Account Representative II
Analyzed outstanding balances and prioritized collections efforts accordingly
•
• Coordinated with insurance companies to resolve claim issues Ability KC Kansas City, MO
March 2016 - July 2020
SR Patient Account Specialist/ABA MDCD Specialist
• Verified accuracy of billing data and revised errors
• Utilized healthcare billing software to process and track patient accounts Truman Medical Center East & West Kansas City, MO September 2015 - January 2016
Payment Variance Specialist-RCM
Organized data and documentation to support accurate business forecasting
•
• Approached and solved problems with initiative and sound judgment Identified issues and solutions to eliminate billing errors with 75% in Cardiology alone
•
Truman Medical Center East & West Kansas City, MO September 2014 - September 2015
Prior Authorization Specialist
Assisted in training new staff on prior authorization procedures and best practices
•
Reviewed patient records to determine medical necessity for requested treatments
•
Interpreted and applied insurance policy coverage guidelines to authorization processes
•
HCA Healthcare/Parallon Kansas City, MO
August 2006 - August 2014
Patient Account Representative/Medical Billing
Obtained payments from insurance companies by submitting timely bills and correct documentation
•
• Identified and corrected billing errors, preventing revenue loss Lee's Summit Hospital Lee's Summit, MO
March 2003 - August 2006
Patient Account Representative
KU Medical Center/Salick Healthcare Kansas City, KS January 2000 - April 2002
Finance Counselor
KU Cancer Center/Salick Healthcare Kansas City, KS March 1995 - January 2000
Patient Account Representative
Estes Park Medical Center Estes Park, CO
August 1993 - January 1995
Patient Account Representative
Education
May 1982
High School Diploma
Raytown High School, Raytown, Missouri
Contact this candidate